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Therapeutic Communication Techniques
Psychiatric Mental Health Nursing Chapter 8 Table 8-2
20
Nursing
Undergraduate 1
09/02/2009

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Term
Using Silence
Definition
Gives the client the opportunity to collect and organize thoughts, to think through a point, or to consider introducing a topic of greater concern than the one being discussed.
Term
Accepting
Definition
Conveys an attitude of reception and regard
Term
Giving Recognition
Definition
Acknowledging and indicating awareness; better than complimenting. which reflects the nurse's judgment.
Term
Offering Self
Definition
Making oneself available on an unconditioned basis, increases clients' feelings of self-worth.
Term
Giving broad openings
Definition
Allows the client to take the initiative in introducing the topic; emphasizes the importance of the client's role in the interaction.
Term
Offering general leads
Definition
Offers the client encouragement to continue.
Term
Placing the event in time or sequence
Definition
Clarifies the relationship of events in time so that the nurse and client can view them in perspective.
Term
Making observations
Definition
Verbalizing what is observed or perceived. This encourages the client to recognize specific behaviors and compare perceptions with the nurse.
Term
Encouraging description of perceptions
Definition
asking the client to verbalized what is being perceived; often used with clients experiencing hallucinations.
Term
Encouraging comparison
Definition
Asking the client to compare similarities and differences in ideas, experiences, or interpersonal relationships. This helps the client recognize life experiences that tend to recur as well as those aspects of life that are changeable.
Term
Restating
Definition
The main idea of what the client has said is repeated; lets the client know whether or not an expressed statement has been understood and gives him or her the chance to continue or clarify if necessary
Term
Reflecting
Definition
Questions and feelings are referred back to the client so that they may be recognized and accepted, and so that the client may recognize that his or her point of view has value -- a good technique to use when the client asks the nurse for advice.
Term
Focusing
Definition
Taking notice of a single idea or even a single word; works especially well with a client who is moving rapidly from one thought to another. This technique is NOT therapeutic however with the client that is very anxious. Focusing should not be pursued until the anxiety level has subsided.
Term
Exploring
Definition
Delving further into a subject, idea, experience, or relationship, especially helpful with clients who tend to remain on a superficial level of communication. However if the client chooses not to disclose further information, the nurse should refrain from pushing or probing in an area that obviously creates discomfort.
Term
Seeking clarification and validation
Definition
Striving to explain that which is vague or incomprehensible and searching for mutual understanding. Clarifying the meaning of what has been said facilitates and increases understanding fro both client and nurse.
Term
Presenting reality
Definition
When the client has a misperception of the environment, the nurse defines reality or indicates his or her perception of the situation for the client.
Term
Voicing Doubt
Definition
Expressing uncertainty as to the uncertainly as to the reality of the client;s perceptions; often used when clients experiencing delusional thinking
Term
Verbalizing the implied
Definition
Putting into words what the client has only implied or said indirectly; it can also be used with the client that is mute or is otherwise experiencing impaired verbal communication. This clarifies what is implicit rather than explicit.
Term
Attempting to translate words into feelings
Definition
When feelings are expressed indirectly, the nurse tries to "desymbolize" what has been said and to find clues to the underlying true feelings.
Term
Formulating a plan of action
Definition
When a client has a plan in mind for dealing with what is considered to be a stressful situation, it may serve to prevent anger or anxiety from escalating to an unmanageable level.
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